250.03(1)(d)
(d) Advise the legislature on the development of an adequate statutory base for health activities in the state.
250.03(1)(e)
(e) Establish statewide health objectives and delegate power to local health departments to achieve the objectives as the department considers appropriate.
250.03(1)(f)
(f) Support local public health service capacity building through grants, consultation and technical assistance.
250.03(1)(g)
(g) Develop policy and provide leadership in public health throughout the state that fosters local involvement and commitment, that emphasizes public health needs and that advocates for equitable distribution of public health resources and complementary private activities commensurate with public health needs.
250.03(1)(h)
(h) Distribute state and federal public health funds under its control in a manner that will promote the development and maintenance of an integrated system of community health services.
250.03(1)(i)
(i) Require, as a condition for distributing funds under
par. (h) at the local level, that services at that level be coordinated.
250.03(1)(j)
(j) Advocate for the provision of reasonable and necessary public health services.
250.03(2)
(2) The department may enter into agreements and provide consultation on matters relating to human health.
250.03 History
History: 1993 a. 27.
250.04
250.04
Powers and duties of the department. 250.04(1)
(1) The department has general supervision throughout the state of the health of citizens and shall study especially the vital statistics of the state and use the analysis of the vital statistics for health planning. The department may, upon due notice, enter upon and inspect private property. The department has power to execute what is reasonable and necessary for the prevention and suppression of disease. The department may or, if required, shall advise public boards or officers in regard to heating and ventilation of any public building or institution. The department may investigate the cause and circumstances of any special or unusual disease or mortality or inspect any public building and may do any act necessary for the investigation.
250.04(2)(a)(a) The department possesses all powers necessary to fulfill the duties prescribed in the statutes and to bring action in the courts for the enforcement of public health statutes and rules.
250.04(2)(b)
(b) If local health departments fail to enforce public health statutes or rules, the department may enforce those statutes and rules. If the department does this, the county, city or village for which the local health department has jurisdiction shall reimburse the department for expenses that the department incurs in enforcing communicable disease statutes and rules.
250.04(3)(a)(a) The department shall establish and maintain surveillance activities sufficient to detect any occurrence of acute, communicable or chronic diseases and threat of occupational or environmental hazards, injuries or changes in the health of mothers and children.
250.04(3)(b)1.1. The department shall analyze occurrences, trends and patterns of acute, communicable or chronic diseases, maternal and child health, injuries and occupational and environmental hazards and distribute information based on the analyses.
250.04(3)(b)2.
2. The department shall, in cooperation with local health departments, maintain a public health data system.
250.04(3)(b)3.
3. The department may conduct investigations, studies, experiments and research pertaining to any public health problems which are a cause or potential cause of morbidity or mortality and methods for the prevention or amelioration of those public health problems. For the conduct of the investigations, studies, experiments and research, the department may on behalf of the state accept funds from any public or private agency, organization or person. It may conduct the investigations, studies, experiments and research independently or by contract or in cooperation with any public or private agency, organization or person including any political subdivision of the state. Individual questionnaires or surveys shall be treated as confidential patient health care records under
ss. 146.81 to
146.835, but the information in those questionnaires and surveys may be released in statistical summaries.
250.04(3)(b)4.
4. The department may use hospital emergency room and inpatient health care records, abstracts of these records and information the state or federal government collects to correlate exposure to certain occupational and high risk environments with resulting acute or chronic health problems. If the department finds that an occupational health hazard exists, it shall disseminate its findings and promote efforts to educate employes and employers about the health hazard.
250.04(3)(c)
(c) The department shall publish an annual maternal and child health report, including morbidity and mortality indicators for the state, regions of the state, counties, certain cities and subpopulations of the state.
250.04(4)(a)(a) The department shall administer programs for the control and prevention of public health problems.
250.04(4)(b)
(b) The department shall be responsible for follow-up investigations of unusual occurrences of acute, communicable and chronic diseases, occupational and environmental hazards, unusual injuries and unusual changes in maternal and child health.
250.04(5)
(5) Where the use of any pesticide results in a threat to the public health, the department shall take all measures necessary to prevent morbidity or mortality.
250.04(6)
(6) The department shall provide consultation, technical assistance and training regarding public health to local health departments, community organizations and others.
250.04(7)
(7) The department may promulgate and enforce rules and issue and enforce orders governing the duties of all local health officers and local boards of health and relating to any subject matter under the department's supervision that are necessary to provide efficient administration and to protect health. Whoever violates a rule or order specified under this subsection shall be fined not less than $10 nor more than $100 for each offense, unless a different penalty is provided.
250.04(8)
(8) The department may administer oaths, certify to official acts, issue subpoenas and compel the attendance of witnesses and the production of papers, books, documents and testimony. Witness fees and mileage shall be paid from the appropriation under
s. 20.435 (1) (a), but no witness subpoenaed at the instance of parties other than the department is entitled to payment of fees or mileage, unless the department certifies that his or her testimony was material.
250.04(9)
(9) The department may establish, equip and operate a state branch laboratory of hygiene in a city accessible to physicians and local health officers in the northern part of the state to conduct bacteriological and chemical examinations of material from the various contagious and infectious diseases or material from suspected contagious and infectious diseases of persons and animals when public health is concerned, if suitable quarters for the laboratory are offered to the state free of charge for rent, light, heat and janitor service. The department may also establish and aid in maintaining in conjunction with the cities of the state not more than 7 state cooperative laboratories. All of the cooperative laboratories shall be operated in the manner and under the conditions that the department establishes in rules that the department may promulgate.
250.04(10)
(10) The department may investigate and supervise the sanitary conditions of all charitable, curative, reformatory and penal institutions, all detention homes for children and the hospitals and institutions that are organized for the purposes set forth in
s. 58.01. The department may visit the jails, municipal prisons, houses of correction and all other places in which persons convicted or suspected of crime or mentally ill persons are confined and ascertain the sanitary conditions of those places.
250.04(11)
(11) The department shall investigate any hospital which is found by a panel established under s.
655.02, 1983 stats., or by a court to have been responsible for negligent acts.
250.04(12)
(12) The department is designated the state health planning and development agency.
250.04 History
History: 1971 c. 100 s.
23;
1973 c. 90;
1975 c. 37,
39;
1975 c. 94 s.
91 (9);
1975 c. 292,
422;
1977 c. 29,
418;
1979 c. 221,
229,
334,
355;
1981 c. 20,
214,
257;
1983 a. 203;
1985 a. 340;
1987 a. 27 ss.
1786,
1787,
3200 (24);
1987 a. 399;
1989 a. 173,
264;
1991 a. 39,
178,
269;
1993 a. 16;
1993 a. 27 s.
170,
171,
173,
174,
176,
178,
179,
180,
183,
187,
250,
452 to
456;
1993 a. 209,
491.
250.04 Annotation
Hospital breached duty to permit only competent doctors to use its facilities. Johnson v. Misericordia Community Hosp. 99 W (2d) 708, 301 NW (2d) 156 (1981).
250.04 Annotation
Neither 140.05 or regulations adopted under (3) are safety statutes which create an independent basis for a negligence action. Johnson v. City of Darlington, 160 W (2d) 418, 466 NW (2d) 233 (Ct. App. 1991).
250.04 Annotation
See note to Art. I, sec. 7, citing 63 Atty. Gen. 176.
250.045
250.045
Drugs; department order authority. 250.045(2)
(2) Except in cases of emergency, or if consent to entry for inspection purposes has been granted, the department may enter only upon obtaining a special inspection warrant under
s. 66.122 and at reasonable hours, any premises in the state where drugs are manufactured, processed, packaged or held for sale or any vehicle being used to transport or hold drugs. The department may inspect the premises or vehicle, secure samples or specimens of drugs, examine and copy relevant documents and records and obtain photographic or other evidence needed to carry out its authority under this section. The department shall pay or offer to pay the market value of any samples of drugs taken. The department shall examine the samples and specimens secured and shall conduct other inspections and examinations needed to determine whether the drugs constitute an immediate danger to health or the operations or methods of operation on the premises cause the drugs to create an immediate danger to health.
250.045(3)(a)(a) Whenever the department has reasonable cause to believe that drugs constitute an immediate danger to health or that the operations or methods of operation on the premises or vehicle where the drugs are manufactured, processed, packaged or held cause the drugs to create an immediate danger to health, the administrator of the division of the department responsible for public health may issue and cause to be delivered to the owner or custodian of the drugs, premises or vehicle a temporary order which prohibits the sale or movement of the drugs for any purpose or prohibits the operations or methods of operation which create the immediate danger, or both. The temporary order may be effective for a period of no longer than 14 days from the time of its delivery, but it may be reissued for one additional 14-day period if necessary to complete the analysis or examination of samples, specimens or other evidence.
250.045(3)(b)
(b) No drugs described in a temporary order issued and delivered under
par. (a) may be sold or moved and no operation or method of operation prohibited by the temporary order may be resumed without the approval of the department until the order has terminated or the time period specified in
par. (a) has run out, whichever is earlier. If the department, upon completed analysis and examination, determines that the drugs, operations or methods of operation do not create an immediate danger to health, the owner or custodian of the drugs, premises or vehicle shall be promptly notified, in writing, and the temporary order shall terminate upon receipt of the written notice.
250.045(3)(c)
(c) Where the analysis or examination shows that the drugs, operations or methods of operation constitute an immediate danger to health, the owner or custodian shall be notified within the effective period of the temporary order under
par. (a). Upon receipt of the notice, no drugs described in the temporary order may be sold or moved and no operation or method of operation prohibited by the order may be resumed without the approval of the department pending the issuance of a final decision under
sub. (4).
250.045(4)
(4) A notice issued under
sub. (3) (c) shall be accompanied by notice of a hearing as provided in
s. 227.44. The hearing shall be held no later than 15 days after the service of the notice unless both parties agree, in writing, to a later date. A final decision shall be issued under
s. 227.47 within 10 days of the hearing. If a finding is made that the drugs, operations or methods of operation constitute a danger to health, the decision may order the destruction of the drugs, the diversion of the drugs to uses which do not pose a danger to health, modification of the drugs so that they do not create a danger to health or changes in or the cessation of operations or methods of operation to remove the danger to health.
250.045(5)(a)(a) Any person who violates this section or an order issued under this section may be fined not more than $10,000 plus the retail value of any drugs moved, sold or disposed of in violation of this section or an order issued under this section or imprisoned not more than one year in the county jail or both.
250.045(5)(b)
(b) Any person who does either of the following may be fined not more than $5,000 or imprisoned not more than one year in the county jail or both:
250.045(5)(b)1.
1. Assaults, restrains, threatens, intimidates, impedes, interferes with or otherwise obstructs a department inspector, employe or agent in the performance of his or her duties under this section.
250.045(5)(b)2.
2. Gives false information to a department inspector, employe or agent with the intent to mislead the inspector, employe or agent in the performance of his or her duties under this section.
250.045 History
History: 1983 a. 271;
1985 a. 146 s.
8;
1985 a. 182 s.
57;
1993 a. 27 s.
185; Stats. 1993 s. 250.045.
250.05
250.05
Sanitarians; qualifications, duties, registration. 250.05(1)(a)
(a) "Municipality" means a county, city or village.
250.05(1)(b)
(b) "Sanitarian" means an individual who, through education, training or experience in the natural sciences and their application and through technical knowledge of prevention and control of preventable diseases, is capable of applying environmental control measures so as to protect human health, safety and welfare.
250.05(2)
(2) Registration qualifications. In order to safeguard life, health and property, to promote public welfare and to establish the status of those persons whose duties in environmental sanitation call for knowledge of the natural sciences, the department may establish minimum standards and qualifications for the registration of sanitarians.
250.05(3)
(3) Sanitarians; employment or contractual services. Any agency of the state may employ or contract for the services of sanitarians, registered under this section, who shall enforce the public health statutes or rules.
250.05(5)
(5) Registration. The department, upon application on forms prescribed by it and payment of the prescribed fee, shall register as a sanitarian any person who has presented evidence satisfactory to the department that standards and qualifications of the department, as established by rule, have been met.
250.05(6)
(6) Fees: renewal of registration; delinquency and reinstatement. A fee fixed by rule of the department shall accompany the application under
sub. (5) and, beginning January 1, 1988, a biennial fee of $25 shall be paid by every registered sanitarian who desires to continue registration. The amounts of the fees may be adjusted by the department by rule. All certificates of registration shall expire on December 31 in each odd-numbered year. The department may renew registrations upon application made after January 1 of each even-numbered year if it is satisfied that the applicant has good cause for not making application in December of the immediately preceding year and upon payment of the biennial fee and any additional fees prescribed by the department.
250.05(7)
(7) Reciprocity. The department may by rule set standards for sanitarians registered in other states to practice as registered sanitarians in this state.
250.05(8)
(8) Revocation of registration. The department may, after a hearing held in conformance with
ch. 227, revoke or suspend the registration of any sanitarian for practice of fraud or deceit in obtaining the registration or any gross professional negligence, incompetence or misconduct.
250.05(9)
(9) Penalty. No person not registered under this section may claim to be a registered sanitarian nor append to his or her name the initials "R.S.". Any person violating this subsection may be fined not more than $100 or imprisoned not more than 6 months.
250.06
250.06
Public health nurses. 250.06(1)
(1) The qualifications of all public health nurses shall be prescribed by rules promulgated by the department. All public health nurses shall be registered nurses. Licensed practical nurses licensed under
ch. 441 may be employed by local health departments under the supervision of a public health nurse to perform services for which licensed. Public health nurses shall work under the direction of the local board of health and the local health officer and shall conduct a generalized public health nursing program in cooperation with the department.
250.06(3)
(3) The department shall examine the practice of public health nurses and make recommendations for the improvement and the development of public health nursing.
250.06(6)
(6) This section shall not apply to school nurses, as defined in
s. 115.001 (11), while acting in the employ of a public school.
250.07
250.07
Public health planning. The department shall:
250.07(1)
(1) At least once every 10 years, develop a successor document to healthier people in Wisconsin, a public health agenda for the year 2000, published by the department in February 1990.
250.07(2)
(2) Initiate, conduct and periodically evaluate a process for planning to use the resources of the state to meet the health needs of residents and, in conjunction with other state agencies, to implement the objectives that relate to state government in statutes or in public health rules promulgated by the department. The process shall involve representatives from public health organizations, governmental agencies and the general public.
250.07(3)
(3) Provide technical assistance to local units of government for the development of local public health plans.
250.07(4)
(4) Serve as the state lead agency in coordinating the activities within state government involving the collection, retrieval, analysis, reporting and publication of statistical information and other information related to health and health care.
250.07 History
History: 1993 a. 27.
250.08
250.08
State public health funding program. 250.08(1)
(1)
Definition. In this section, "primary health care services" means all of the following:
250.08(1)(b)
(b) Diagnostic laboratory and radiologic services, if the local health department provides laboratory and radiologic services.
250.08(1)(c)
(c) Preventive health services, including eye and ear examinations for children to determine the need for vision or hearing correction, perinatal services, well-child services and family planning services.
250.08(3)
(3) Primary health care services grants. From the appropriation under
s. 20.435 (1) (cp), the department shall award up to $500,000 in fiscal year 1995-96 and up to $250,000 in fiscal year 1996-97 as grants to applying local health departments. Grants under this subsection shall be awarded, under procedures and criteria developed by the department, for the provision, primarily by nurse practitioners who meet the qualifications for certification as medical assistance providers by the department and by public health nurses, of primary health care services in, among other places, maternal and child health clinics and community health settings. Award of a grant to a local health department under this subsection is conditioned upon receipt by the department of an agreement by the county, city or village that has established the local health department to provide funds or in-kind services to match 25% of the amount of a grant awarded.
250.08(5)
(5) Maintenance-of-effort requirements. Funds awarded under
sub. (3) may not be used to provide payment for administration of a local health department and may not be used to supplant any of the following, as of May 11, 1990:
250.08(5)(a)
(a) Any funds otherwise available to a local health department.
250.08(5)(b)
(b) Any services provided by a local health department under otherwise available funds.
250.08(5)(c)
(c) Any services provided by a local health department on behalf of another local health department.
250.08(6)(a)(a) The department shall distribute state and federal funds under its control under this section in a manner that will promote the development and maintenance of integrated community health services.
250.08(6)(b)
(b) The department shall require the coordination of services at the local level when distributing state and federal funds under this section that are under the department's control.
